Neurology
- Psychogenic nonepileptic seizure: An empathetic, practical approach
Barriers to care include clinician misperceptions, lack of acceptance of the diagnosis, poor patient engagement with treatment, and lack of access to care.
- Psychogenic nonepileptic seizure: A neurologist’s perspective
Confirming the diagnosis is only the start of the journey. The greater challenge and opportunity lie in how physicians present the diagnosis to the patient and family.
- Oral hyperpigmentation with weakness and salt-craving
The patient’s primary care physician had attributed the hyperpigmentation on the lower lip and inner cheek to pen ink.
- Potential systemic benefits of shocking or blocking nerves
What has really caught my attention is the expanding research on controlled regional neuromodulation and its impact on systemic physiology and inflammation.
Stellate ganglion block as a treatment for vasomotor symptoms: Clinical applicationHormone therapy is the mainstay of treatment, but there is a clear need for safe and effective nonhormonal options. The authors review data on the use of stellate ganglion block in perimenopausal and postmenopausal patients.
- Vitamin D supplementation: Pearls for practicing clinicians
A review of how to assess and counsel patients on the use of vitamin D, with patient scenarios clinicians are likely to encounter, and an overview of current recommendations for vitamin D supplementation.
- A large, painless bulla on the right foot
A patient with a history of type 2 diabetes and diabetic neuropathy had a hemoglobin A1c of 10.3% at presentation.
- Discontinuing antidepressants: Pearls and pitfalls
To date, no formal schedule for tapering antidepressants has been validated. The maxim “slower is better” applies.
- A painful mass in the jaw
The patient presented with a painful mass in the left side of her jaw, headache, lockjaw, painful swallowing, night sweats, and unintentional weight loss.
- Evaluation and management of orthostatic hypotension: Limited data, limitless opportunity
Orthostatic hypotension is common and can have serious consequences. The author offers a systematic approach to evaluation and management.